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Individual
MS. JANICE LYNN FAIRBANK
Active
Individual
MS. JANICE LYNN FAIRBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LIAC, SAP, LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LIAC-15597
AZ
101YM0800X
Mental Health Counselor
BBH-LCPC-LIC-90419
MT
101YM0800X
Mental Health Counselor
Primary
LCPC-8471063
ID
101YM0800X
Mental Health Counselor
MHC.LH.70013113
WA
101YP2500X
Professional Counselor
CTB-2026-0500
NM
101YP2500X
Professional Counselor
LPC-23937
AZ
Other
Enumeration date
08/30/2022
Last updated
08/18/2026
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